Provider Demographics
NPI:1649245473
Name:ESPADA, ELENA (MSW)
Entity type:Individual
Prefix:
First Name:ELENA
Middle Name:
Last Name:ESPADA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2007
Mailing Address - Country:US
Mailing Address - Phone:856-827-7630
Mailing Address - Fax:856-827-7640
Practice Address - Street 1:1909 ROUTE 70 E
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4501
Practice Address - Country:US
Practice Address - Phone:856-827-7642
Practice Address - Fax:856-827-7640
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker